• 제목/요약/키워드: Preventive Replacement

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Outcome of Concomitant Cox Maze Procedure with Narrow Mazes and Left Atrial Volume Reduction

  • Choi, Jong Bum;Kim, Jong Hun;Cha, Byong Ki
    • Journal of Chest Surgery
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    • 제47권4호
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    • pp.358-366
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    • 2014
  • Background: To improve sinus rhythm conversion, the Cox maze III procedure with narrow mazes (width: ${\leq}3.0cm$) was performed in combination with left atrial volume reduction. Methods: From October 2007 to April 2013, 87 patients with atrial fibrillation (paroxysmal in 3, persistent in 14, and permanent in 70) underwent the Cox maze procedure concomitant with another cardiac procedure. They were followed-up with serial electrocardiographic and echocardiographic studies. We used 24-hour Holter monitoring tests to evaluate postoperatively symptomatic patients. Results: At the mean follow-up time of 36.4 months, 81 patients (94.2%) had sinus rhythm and two were on anti-arrhythmic medication (one on a beta-blocker and the other on amiodarone). Five patients (5.8%) with postoperative recurrent and persistent atrial fibrillation never experienced sinus rhythm conversion; however, they did not require any medication for rate control. On postoperative echocardiography, the left atrial A waves were more frequently observed after concomitant mitral valve repair than after concomitant mitral valve replacement (82.4% vs. 40.4%, respectively; p<0.001). Conclusion: For the Cox maze procedure, narrow mazes and atrial volume reduction resulted in excellent sinus rhythm conversion without the preventive use of anti-arrhythmic drugs, and they did not affect the presence of the left atrial A waves on echocardiography.

원인분석을 통한 신뢰성 중심의 유지보수 시스템 절차 개발 (Development of Implementation Procedure for Reliability Centred Maintenance with Causing Analysis)

  • 이헌창;최민홍;임동호;김태옥
    • 한국가스학회지
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    • 제21권4호
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    • pp.16-20
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    • 2017
  • 현재의 유지보수 시스템은 고정 설비 및 회전기계의 유지 및 보수에 대한 명확한 기준이 제시되지 않고 있으며, 고장이 발생되더라도 근본적인 원인분석 없이 교체 및 수리가 이루어져 더 큰 사고를 초래할 수 있는 환경이다. 따라서 본 연구에서는 예방보전을 통해 사전에 점검하고 유지 보수할 수 있도록 신뢰성 중심의 유지보수 시스템의 절차를 개발하였고, 향후 유지보수에서 설비의 고장형태에 따라 문제 발생 설비를 집중 관리함으로써 중대산업사고의 발생을 사전에 예방하고 관리할 수 있는 절차를 제시하고자 하였다.

시뮬레이티드 어닐링을 이용한(m, n)중 연속(r,s) : F 시스템의 정비모형 (A Maintenance Design of Connected-(r, s)-out-of-(m, n) F System Using Simulated Annealing)

  • 이상헌;강영태;신동열
    • 대한산업공학회지
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    • 제34권1호
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    • pp.98-107
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    • 2008
  • The purpose of this paper is to present an optimization scheme that aims at minimizing the expected cost per unittime. This study considers a linear connected-(r, s)-ouI-of-(m, n):f lattice system whose components are orderedlike the elements of a linear (m, n)-matrix. We assume that all components are in the state 1 (operating) or 0(failed) and identical and s-independent. The system fails whenever at least one connected (r, s)-submatrix offailed components occurs. To find the optimal threshold of maintenance intervention, we use a simulatedannealing(SA) algorithm for the cost optimization procedure. The expected cost per unit time is obtained byMonte Carlo simulation. We also has made sensitivity analysis to the different cost parameters. In this study,utility maintenance model is constructed so that minimize the expense under full equipment policy throughcomparison for the full equipment policy and preventive maintenance policy. The full equipment cycle and unitcost rate are acquired by simulated annealing algorithm. The SA algorithm is appeared to converge fast inmulti-component system that is suitable to optimization decision problem.

Quality Evaluation on Use of Camellia Oil as an Alternative Method in Dried Seaweed Preparation

  • Kim, Jae Kyeom;Park, Hui Gyu;Kim, Cho Rong;Lim, Ho-Jeong;Cho, Kye Man;Choi, Jine Shang;Shin, Dong-Hoon;Shin, Eui-Cheol
    • Preventive Nutrition and Food Science
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    • 제19권3호
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    • pp.234-241
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    • 2014
  • The fatty acid and volatile compound compositions of camellia oil were analyzed in this study. The impacts of the replacement of conventional vegetable oil with camellia oil on the sensory attributes of dried seaweed were also determined. C18:1 (83.59%), followed by C16:0 and C18:2, were the most abundant fatty acids in camellia oil. A total of 11 and 32 volatile compounds were identified in camellia oil and sesame oil, respectively. In the preference test, the camellia oil samples received a higher, although insignificant, liking rating in overall acceptability of appearance. Overall, there were no differences between the sensory attributes of camellia oil and sesame oil. This finding, combined with the unique fatty acid composition, thermal stability, and health benefits of camellia oil indicate that further study into the use of camellia oil in foods is warranted.

Immunomodulatory Effects of Cimicifugae Rhizoma Extracts in Macrophages

  • Pyo, Suh-Kneung;Kim, Byung-Oh;Choi, Hye-Sook;Son, Eun-Wha
    • Preventive Nutrition and Food Science
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    • 제11권4호
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    • pp.268-272
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    • 2006
  • Cimicifugae Rhizoma (CR) belongs to the Ranunculaceae family, which has been traditionally used to treat climacteric complaints, antipyretics and diaphoresis as an alternative medicine for estrogen hormone replacement therapy with estrogens. Recently, it has been reported that different extract fractions of CR have various effects such as anti-allergic, anti-inflammatory and anti-proliferative activities. The current study investigated the immunomodulatory effects of Cimicifugae Rhizoma water extracts (CRE) in the macrophage-like cell line, Raw 264.7. Our results showed that CRE ($1\sim50\;{\mu}g/mL$) stimulated tumoricidal activity and NO production, whereas phagocytic activity was inhibited at the same concentrations. Additionally, iNOS mRNA expression was significantly increased in Raw 264.7 exposed to CRE as demonstrated by RT-PCR. These results indicate that the tumoricidal activity induced by CRE may be mediated by the production of NO and these activities may be useful for the treatment of diseases such as cancer.

Physicochemical and Sensory Evaluation of Whole Soybean Curd Supplemented with Pine Needle Powder

  • Lee, Jun Ho
    • Preventive Nutrition and Food Science
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    • 제20권2호
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    • pp.148-152
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    • 2015
  • To develop functionally and nutritionally improved whole soybean curd (WSC), the effects of partial (0~4%) replacement with pine needle powder (PNP) on the quality characteristics of WSC were investigated. The moisture content and pH ranged from 76.96~77.80% (wet basis) and 6.69~6.74, respectively, with no considerable differences. Lightness significantly decreased with higher PNP content in the formulation (P<0.05), as indicated by visual observation that the color of WSC became darker. Redness and yellowness also significantly decreased (P<0.05). The texture profile analysis indicated that WSC containing PNP was softer and less cohesive than control WSC. 2,2-Diphenyl-1-picrylhydrazyl and 2,2'-azino-bis(3-ethylbenzthiazoline-6-sulphonic acid) radical scavenging activities significantly increased (P<0.05) with higher substitution of PNP, and they were well correlated. Results from the consumer test revealed that WSC with 1% PLP received the most favorable acceptance scores for sensory attributes, including overall acceptability. The present study indicated that the characteristics of PNP may play a role in improving WSC quality in terms of physicochemical, sensorial, and antioxidant characteristics.

SVM방법을 이용한 풍력발전기 고장 예측 및 발전수익 평가 (Fault prediction of wind turbine and Generation benefit evaluation by using the SVM method)

  • 신준현;이윤성;김성열;김진오
    • 조명전기설비학회논문지
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    • 제28권5호
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    • pp.60-67
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    • 2014
  • Wind power is one of the fastest growing renewable energy sources. The blades length and tower height of wind turbine have been growing steadily in the last 10 years in order to increase the output amount of wind power energy. The amount of wind turbine energy is increased by increasing the capacity of wind turbine, but the costs of preventive, corrective and replacement maintenance are also increased accordingly. Recently, Condition Monitoring System that can repair the fault diagnose and repair of wind turbine in the real-time. However, these system have a problem that cannot predict and diagnose of the fault. In this paper, wind turbine predict methodology is proposed by using the SVM method. In the case study, correlation analysis between wind turbine fault and external environmental factors is performed by using the SVM method.

산업용 오버헤드 도어의 사고 예방 : 유지관리 및 병렬구조 안전장치를 중심으로 (Safety of Industrial Overhead Doors : A Review of Maintenance and Parallel Safety Devices)

  • 김복기;정재욱
    • 한국안전학회지
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    • 제39권1호
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    • pp.33-40
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    • 2024
  • This study analyzes the impact of regular preventive maintenance (PM) on reducing the failure rate and occurrence of falling accidents of industrial overhead doors. A reliable safety device model with an additional safety device, which is installed to replace a defective one, is proposed. The research methodology involves collecting breakdown and falling accident records, comparing and analyzing data before and after regular PM implementation, and experimenting with two types of retrofittable safety devices. Key findings are as follows. 1. Regular PM implementation significantly reduces the failure rate of old overhead doors. 2. A parallel structured model with two alternative safety devices can minimize falling accident risks. The study's contributions include the following. 1. The positive impact of PM on extending overhead door lifespan is quantified. 2. A general safety device model that can be retrofitted and used as replacement with a fail-safe function is proposed.

실내외 $NO_2$농도 및 $NO_2$개인폭로량과 이들에 영향을 미치는 요인에 관한 연구 -도시지역 주택 및 주부를 대상으로- (A Study on the Indoor-Outdoor $NO_2$ Levels and Personal Exposures to $NO_2$ with Analysis of factors Affecting the $NO_2$ Concentrations - Centering on Urban Homes and Housewives -)

  • 전진호;이채언;김준연;정요한
    • Journal of Preventive Medicine and Public Health
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    • 제21권1호
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    • pp.132-151
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    • 1988
  • This study was conducted to establish the control program for preventing unfavorable health effects of nitrogen dioxide($NO_2$) exposure in homes by preparing the fundamental data for evaluation of relation-ships between $NO_2$ levels and influencing factors through measurements of indoor-outdoor $NO_2$ levels and personal $NO_2$ exposures for housewives with questionnaire survey on 172 homes in Pusan area from April to June, 1987 $NO_2$ measurements were made by using diffusion tube samplers(Palmes tube $NO_2$ sampler) for one week at 4 sites in homes ; kitchen(KIT), bedroom(BED), living room(LIV), outdoor(OUT) and near the collar of housewives(personal exposure livel, PNO). The details of questionnaire were number of household members(FAM), number of regular smokers (SMOKER), daily number of meals eaten(MEAL), type of housing units(HOUSE), location of house with distance from the heavy traffic roads as walking time(DIST), and of kitchen(KAREA), kind of cooking fuels(FUEL), cooking time of each meal(CTIME), usage of kitchen fan for cooking(FAN), type of heating facilities(HEAT) and so on of subject homes. The Obtained results were as fellows : 1) The mean $NO_2$ level was significantly higher at indoors than outdoors(p<0.01) and the kitchen $NO_2$ level was the highest with $33.7{\pm}13.6ppb$(9.5-81.5ppb). The mean personal exposure level of $NO_2$ for housewives was $20.6{\pm}8.8ppb$(3.1-46.9ppb). 2) The mean indoor $NO_2$ level was significantly higher in the group of household members above 5 than below 4(p<0.05), in detached dwellings than apartments(p<0.001), within 5 minutes of distance than over 5 minutes(p<0.001), in the group of unusing fan(p<0.001), in the group of longer cooking time(p<0.001), and it was in order of coal briquette, gas, electricity and oil by kind of cooking fuels(p<0.05). 3) Variables showing significant correlation(p<0.001) with indoor $NO_2$ level were kitchen $NO_2$ level(r=0.8677), cooking time(r=0.5921), outdoor $NO_2$ level(r=0.5192), personal $NO_2$ exposure level(r=0.4615), usage of kitchen fan(r=0.3573) and location of house(r=-0.2988) 4) As a result of multiple regression analysis, the most significant influencing variable to the kitchen $NO_2$ level was cooking time[KIT=$-0.378{\pm}11.772$(CTIME)+0.298(OUT)+3.102(FAN)], it was kitchen $NO_2$ level to the indoor $NO_2$ level[IND=6.996+0.458(KIT)+0.230(OUT)-1.127(KAREA)], and it was indoor $NO_2$ level to the personal $NO_2$ exposure level[PNO=15.562+0.729(IND)-4.542(DIST)-0.200(KIT)] 5) It was recognized that aritificial ventilation in the kitchen, suppression of unnecessary combustion and replacement of cooking fuel, as much as possible, were effective means for decreasing indoor $NO_2$ levels in homes.

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어머니의 구강보건관리행태와 자녀의 우식경험유치지수와의 관련성 (The relations between mothers' oral health behavior and children's mean number of decayed or filled primary teeth)

  • 장경애;김동열
    • 한국치위생학회지
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    • 제10권1호
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    • pp.215-229
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    • 2010
  • Objectives : This study was to assess the children's mean number of decayed or filled primary teeth in relation to their mother's oral health behavior and then to increase children's oral health. Methods : The 346 children and their mothers were selected for this study. The children were 4 or 7 years old in the 4 dental clinics in Busan and Kyungnam, Korea. Data were collected by examination on children and self-administrated questionnaire on their mothers. The questionnaire was surveyed mother's oral health behaviour and children experienced dental caries or not and the number of decayed or filled they had were used as outcome variables. Results : 1. The mother's education level affected children's dft index significantly(p<0.05), In the case of tooth brushing method of children, the group with circle teeth wipes shows the low dft index(p<0.01). 2. On the other hand the group with snack as food eaten between meals has high dft index(p<0.001). 3. The group with mother's visiting to dentist within recent 1 year, experience in removing plaque or willing to attend the oral health education show low dft index(p<0.05). The important variables affecting to dft index are experience with oral health education, tooth brushing guidance, replacement of toothbrushes, the kind of food eaten between meals, recent experience of plaque removal and willing to participating in the oral health class. Conclusions : This study showed that the mother's oral health behavior and concern play an important role for the prevention of preschooler's dental caries. Dental health education would be focused on the mothers, expecially for the practice of preventive behavior by preschools themselves.